altRX vs Willow
In our scoring, altRX edges ahead overall (7.4 vs 7.2 out of 10), and altRX costs less for compounded semaglutide (about $2,520 a year less).
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Key differences
- Price
- altRX $89/mo vs Willow $299/mo for compounded semaglutide (standing prices, no prepay or separate membership listed · about $2,520 a year less with altRX)
- Coverage
- Willow 36 states (altRX doesn't publish a state list)
- Included
- altRX: medication, clinician visits, shipping; Willow: medication, clinician visits, shipping
- Safety
- FDA warning letters on record: altRX 1, Willow none
altRX
Affiliate partnerBest for low-cost compounded GLP-1s with brand-name Zepbound, Wegovy and Ozempic as options
semaglutide
$89
Our score 7.4/10
Willow
Affiliate partnerBest for needle-free compounded semaglutide or tirzepatide tablets
semaglutide
$299
Our score 7.2/10
We may earn a commission if you sign up through these links. Partner status can affect which provider we feature; it never changes a score or a price.
Costs & coverage
Published prices with their terms attached. Yearly figures are modeled from the standing price and billing cadence. A check mark marks the better side, on like-for-like rows only.
altRX
Willow
Price
Semaglutide / month
Better on this row: $89/mo
$299/mo
Semaglutide / year (modeled)
Better on this row: $1,068
$3,588
Tirzepatide / month
Better on this row: $149/mo
$399/mo
Tirzepatide / year (modeled)
Better on this row: $1,788
$4,788
Oral semaglutide / month
Not listed
$299/mo
Oral tirzepatide / month
Not listed
$399/mo
Brand Wegovy / Ozempic / month
$1,149/mo
Not listed
Brand Zepbound / Mounjaro / month
$1,249/mo
Not listed
Coverage
State availability
List not published
36 states
Oral option listed
Not listed
Yes
Brand-name access listed
Wegovy / Ozempic, Zepbound / Mounjaro
Not listed
Included in the price
Medication, clinician visits, shipping
Medication, clinician visits, shipping
FSA/HSA accepted
Not listed
Yes
Terms & safety
Price shown
Before intake
Before intake
Cancel anytime
Yes
Yes
Minimum commitment
Single-month and multi-month plans; multi-month plans are a single, non-refundable purchase for the full term
Monthly auto-renewing plan; no minimum term stated. 'Your program renews automatically so you never miss a dose.'
Refunds
Refund policy (Aug 25, 2026): 'ALL PAYMENTS FOR THE SUBSCRIPTION SERVICES ARE FINAL AND NON-REFUNDABLE AT THE TIME OF PURCHASE.' A medical disqualification refunds the unused portion minus consultations, provider review and other services already rendered.
'If you cancel before your prescription is sent to the pharmacy, you'll receive a full refund within 5-10 business days.' Terms: 'charges are non-refundable once incurred' and prescription products 'are not returnable'.
FDA warning letters
1 warning letter
Better on this row: None on record
Provider facts checked
October 2026
October 2026
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Which fits your priorities?
Only the points where these two differ, from the table above and each provider’s record.
Choose altRX if…
- About $2,520 a year less than Willow for compounded semaglutide at standing prices
- Lists brand-name Wegovy / Ozempic and brand-name Zepbound / Mounjaro, which Willow doesn't price
- Brand-name Zepbound, Wegovy and Ozempic available alongside compounded options
What to weigh up
- 1 FDA warning letter on record
- No published state list; confirm yours at signup
Choose Willow if…
- Lists oral compounded semaglutide and oral compounded tirzepatide, which altRX doesn't price
- Publishes its full state list (36 states)
- No FDA warning letters on record (altRX has 1)
What to weigh up
- About $2,520 a year more than altRX for compounded semaglutide
- Pricier than many compounded programs: $299/mo for semaglutide and $399/mo for tirzepatide
Explore the scoring factors
Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.
altRX
7.4/10
Willow
7.2/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
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SkinnyRx
Compounded semaglutide or tirzepatide with the consult and free overnight shipping in one price
Read full review →From $149.25/mo
Get started →Collective
The lowest flat medication price if you can absorb an annual membership fee
Read full review →From $59/mo + membership
Get started →From $219/mo
Get started →altRX vs Willow: FAQ
Key terms, explained
New to GLP-1s? Tap any term for a quick, plain-English definition.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
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Or see the full category ranking.
Wegovy®, Ozempic®, and Rybelsus® are trademarks of Novo Nordisk A/S. Mounjaro® and Zepbound® are trademarks of Eli Lilly and Company. All other product names and trademarks referenced on this page belong to their respective owners. WeightLossRankings.org is not affiliated with any pharmaceutical manufacturer. See trademark disclaimer.